Provider Demographics
NPI:1306064746
Name:SCHOONMAKER, SHARON LEE
Entity type:Individual
Prefix:MRS
First Name:SHARON
Middle Name:LEE
Last Name:SCHOONMAKER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1440 MOOSIC DR
Mailing Address - Street 2:
Mailing Address - City:CHAMBERSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17201-9298
Mailing Address - Country:US
Mailing Address - Phone:717-267-3182
Mailing Address - Fax:
Practice Address - Street 1:871 STANLEY AVE # B
Practice Address - Street 2:
Practice Address - City:CHAMBERSBURG
Practice Address - State:PA
Practice Address - Zip Code:17201-2881
Practice Address - Country:US
Practice Address - Phone:717-261-0931
Practice Address - Fax:717-267-0242
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-23
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC007240L171W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor